PIVD/Mechanical Back Pain

Question 1

What myotome is being assessed by hip flexion?

Answer 1

L1/2

Question 2

What myotome is being assessed by knee extension?

Answer 2

L3/4

Question 3

What myotome is being assessed by foot dorsiflexion & EHL?

Answer 3

L5

Question 4

What myotome is being assessed by ankle plantarflexion?

Answer 4

S1/2

Question 5

What is the main line investigation for back pain?

Answer 5

MRI

Question 6

What is sciatica?

Answer 6

Buttock and/or leg pain in a specific dermatomal distribution accompanied by neurological disturbance

Question 7

What is the common presentation in disc prolapse?

Answer 7

Episodic back pain, onset of leg pain +- neurology, leg pain becomes dominant, dermatomal/myotomal distribution

Question 8

How is backache managed?

Answer 8

Short bed rest (debatable) ,anti inflammatory + muscle relaxants, mobilse. PT, X-ray, return to normal activity

Question 9

What is adjacent segment disease?

Answer 9

Adjacent segment disease (ASD) is symptomatic deterioration of spinal levels adjacent to the site of a previous fusion